This is an education resource only. Ordering of all procedure codes on this website are subject to the Canberra Health Services guidelines for imaging orders.
CT ANGIOGRAPHY PELVIS
INDICATIONS (2)
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Pelvic trauma – particularly in the settling of persisting haemodynamic instability in pelvic fractures.
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Vascular malformation suspected of the hips with pain or findings of physical deformity.
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Pre-operative planning – iliac artery aneurysm repair, angioplasty, embolization (typically also includes the abdominal aorta).
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Pre-embolisation work up for prostate or uterine artery embolization.
PATIENT PREPARATION
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Patient able to lie still for ten minutes
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Not claustrophobic (sedation may be given)
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Cognitively capable of following basic instructions
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Metal artefacts removed from the region of interest
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No respiratory distress when lying supine
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Not allergic to Iodine based contrast
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No known kidney disease (eGFR below 30 as per RANZCR), however, acute setting consultant may sign to continue with poor renal function
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No hyperthyroidism, may induce thyroid storm
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Patient to have 18G cannula in anterior cubital fossa to enable a 7ml/s flow rate (20G cannula acceptable if flushing to 5ml/s).
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Preferably patient fasted for 4 hours
ANATOMY INCLUDED
CT Angiography Pelvis - Maximum Intensity Projection (axial)
CT Angiography Pelvis - Maximum Intensity Projection (coronal)
CT Angiography Pelvis - Maximum Intensity Projection (sagittal)
REFERENCES
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Patterson et al., 2016 - Clinical indications for CT angiography in lower extremity trauma, Current Orthopaedic Practice 27(4):p 400-404
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American College of Radiology (ACR). Appropriateness Criteria. [Internet]. 2022 [Updated 2023, Cited 20 Feb 2024]. Available from https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria